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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSidney Sutton
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    Sidney Sutton — Billing Profile & Reimbursement Data

    NPI 1811978158 · Elizabeth City, NC · Family Medicine Physician

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    Sidney Sutton is a family medicine physician provider located in Elizabeth City, North Carolina. This profile covers 35 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationSidney Sutton
    Address1141 N Road St Ste G
    CityElizabeth City
    StateNC
    ZIP27909
    TaxonomyFamily Medicine Physician
    NPI EnumeratedNovember 11, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$315.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    35 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…860$80$65K
    91322This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.560$110$63.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit290$130$35.8K
    90694This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…570$60$33.5K
    90480The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.660$40$25.7K
    G0008Administration of influenza virus vaccine640$20$14.2K
    0134AN/A300$40$11.6K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.90$110$10.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…140$60$8.2K
    99496The provider manages the care of a patient during the transition to home care after discharge from a healthcare facility. The patient’s care requires high–level medical decision making, contact…40$210$7.5K

    Showing 1–10 of 35

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 35 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    35 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99349539600120$80$24.1K
    9921443318,060110$80$15.1K
    9930629138050$130$12.7K
    9132032090060$130$12.3K
    9132281,21050$140$11.3K
    G04391744,16060$120$10.5K
    99490624750120$40$10.3K
    992134,32216,32070$50$7.1K
    906777031,81020$280$6.7K
    364152733,49090$10$6.4K

    Showing 1–10 of 35

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Sidney Sutton, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Sentara Medical GroupVAFamily Medicine Physician$0$48.7M
    Sentara Reference Lab Solutions, LLCVAClinical Medical Laboratory$12.9M$4.7M
    Rmh Medical Group LLCVAGeneral Practice Physician$0$9.8M
    Jonathan WiesenVAInternal Medicine Physician$2.4M$0
    Deepak DeshmukhVAVascular Surgery Physician$1.4M$0
    Kambiz ShamlouFLDiagnostic Radiology Physician$1.4M$0
    Thomas YuschokFLDiagnostic Radiology Physician$1.2M$0
    Naren GuptaMAVascular Surgery Physician$1.1M$0
    Kyle HarnerNCRheumatology Physician$1.1M$0

    Nearby Providers

    Other providers in the same ZIP code as Sidney Sutton, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara Albemarle Regional Medical CenterNCGeneral Acute Care Hospital$0$13.8M
    Cmg Of North Carolina, Inc.NCPediatrics Physician$0$9.1M
    Benjamin House, Inc.NCDevelopmentally Disabled Services Day Training Agency$0$7.1M
    The Brooks Senior Living LLCNCAssisted Living Facility$0$7M
    Julia Schaefer-cutilloNCHematology & Oncology Physician$4M$0
    County Of Pasquotank Office Of The TreasurerNCParamedic$1.2M$1.7M
    Lindsey WhiteNCCardiovascular Disease Physician$820.2K$0
    Jitendra SwarupNCOphthalmology Physician$702.6K$0
    Alan ManietNCCardiovascular Disease Physician$556.2K$0
    Tejwant ChandiNCInternal Medicine Physician$514.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Sidney Sutton — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina